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BENEFIT VERIFICATION SPECIALIST in Franklin, TN at Acadia Healthcare

Date Posted: 5/17/2019

Job Snapshot

  • Employee Type:
    Full-Time
  • Location:
    Franklin, TN
  • Experience:
    At least 1 year(s)
  • Date Posted:
    5/17/2019

Job Description

Overview

Benefit verification specialist

Acadia is a provider of behavioral healthcare services. At December 31, 2018, Acadia operated a network of 583 behavioral healthcare facilities with approximately 18,100 beds in 40 states, the United Kingdom and Puerto Rico. Acadia provides behavioral health and addiction services to its patients in a variety of settings, including inpatient psychiatric hospitals, specialty treatment facilities, residential treatment centers and outpatient clinics.

PURPOSE STATEMENT:

The Benefit Verification Specialist is Responsible for the timely verification of insurance benefits and authorizations. 

Responsibilities
  • Responsible for the timely verification of insurance benefits provided via websites and/or calling the payor.
  • Obtain precertification and authorizations for services being rendered
  • Review and resolves prior authorization/precertification/referral issues that are not valid and contacts insurance carriers to verify/validate requirements to ensure accuracy and avoid potential denial.
  • Validates all necessary referrals/prior authorizations/pre-certifications for scheduled services are on file and shared with all appropriate staff and are valid for the scheduled services performed.
  • Ensure all account activity is documented in the appropriate system and shared with all appropriate staff timely and thoroughly.
  • Identify and forward potential reimbursement problems with the Billing Team.
  • Proactively interacts with Clinics and other appropriate staff sharing benefits, authorizations and eligibility.

Job Requirements

  • High school diploma or equivalent.
  • Previous experience in patient access, registration, billing, insurance, or pre-certifications.
  • Previous experience with insurance carriers preferred.
  • Advanced computer skills including Microsoft Office; especially Word, Excel, and PowerPoint.
  • Knowledge of office administration procedures with the ability to operate most standard office equipment.